OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR PHYSICIANS, DENTISTS, PODIATRISTS AND OPTOMETRISTS

ICR 198606-2900-007 · OMB 2900-0207 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147572 APPLICATION FOR PHYSICIANS, DENTISTS, PODIATRISTS AND OPTOMETRISTS Form Migrated
ICR Details
2900-0207 198606-2900-007
Historical Active 198210-2900-027
VA
APPLICATION FOR PHYSICIANS, DENTISTS, PODIATRISTS AND OPTOMETRISTS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/22/1986
Retrieve Notice of Action (NOA) 06/24/1986
  Inventory as of this Action Requested Previously Approved
08/31/1989 08/31/1989
12,900 0 0
6,450 0 0
0 0 0
THE VA FORM 10-2850 IS AN APPLICATION FORM DESIGNED SPECIFICALLY TO ELICIT APPROPRIATE INFORMATION ABOUT THE QUALIFICATIONS OF PHYSICIAN, DENTIST, PODIATRIST AND OPTOMETRIST CANDIDATES FOR VA EMPLOYMENT.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR PHYSICIANS, DENTISTS, PODIATRISTS AND OPTOMETRISTS VA 10-2850
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12,900 0 0 12,900 0 0
Annual Time Burden (Hours) 6,450 0 0 6,450 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/24/1986